Qualifications and Standards BUMED M32 CDR Frederick (Fritz) Kass, MC Director

The stature of our homeland is no more than the measure of ourselves. Sign on and sail with me The stature of our homeland is no more than the measure of ourselves. Our job is to keep her free. Our will is to keep the torch of freedom burning for all. To this solemn purpose we call on the young, the brave and the strong, and the free. Heed my call. Come to the Sea, Come sail with me.

Format Presentation Have a DISCUSSION about Medical Boards Use case scenarios to highlight common areas of questions/confusion Rewards for participation? Time for plenty of questions NOT a classic “slide presentation” after just a couple of intro remarks

‘Day to Day’ Operations Entry/Commissioning Reviews and Recommendations Marine Mobilization/De-Mob Reserve Retention (USMC and USN) EDIS/EFMP/Suitability Incapacitation Policy/Congressional/Other Inquiries PEB Liaison/Medical Boards (not incl MEDBOLTT) TSGLI 60% 21% 7% 1-2%

Why Group Our Functions PEB/LIMDU/Mob and De-Mob (MM 18, SCNV 1850.4) Standards in MM 15 Separations (MM 15), Reserve Retention (MM 15, SCNV 1850.4) MM 18, BMD 1300.2

Case #1 9 year service BM2 not on sea duty with back pain, medical board done at MTF 4 months ago but never made it to PERS. Was the BM2 on LIMDU? If yes, when did it start? Why do we have medical boards?

Case #2 MMC with 15 years of service was in struck by a LT Patient Admin officer and suffered a complicated tib-fib. Going to be “down” for 4-6 months. On LIMDU for 2 periods 5 years ago for upper extremity/chest burns (boiler accident). Short form or dictated MEBR? Who is the CA for his MEB? Where does it go? What if he were a USMC SSGT?

Case #3 USMC Corporal with 5 years of service with recent diagnosis of mild asthma. Doing well on single inhaler. Call from her CO regarding “retention standards”. Where are these standards written? Where does the Disability Evaluation System start?

Case #4 IT1 with 13 years of service chronic knee pain without objective findings on scope/MRI, fit by PEB, still has some limitations but able to do essentially all “IT” work. What is “assignability”? How is that different than “deployability”? Have you seen an assingment screening form? What about the PRT? Can he be ADSEP’ed? Did his case have to go to the PEB first? What if he were a LCDR?

Case #5 USMC Staff Sergeant with 9 years of service with an approved RAD date in 5 months just had an ACL repair. Everything went fine. Anticipate he will be “good to go” in 4-9 months. Should he go on LIMDU? What difference does his RAD date make? Can you be found qualified to separate while on LIMDU? What is he were retiring vice RAD? What if he were a de-mobilizing reservist? What if he were a de-mobilizing HM1?

QUALIFICATIONS & STANDARDS Fritz Kass, CDR, MC (202) 762-3468 fckass@us.med.navy.mil Kevin Ronan, CDR, MC (202) 762-0200 kronan@us.med.navy.mil Jesse Irwin, LT, MC (202) 762-0553 jirwin@us.med.navy.mil Lorenzo Tarpley, LT, MSC (202) 762-0174 ltarpley@us.med.navy.mil

Functions Provide Waiver Recommendations for Various Programs (see next slide) Reserve Retention Marine Corps Mobilization/De-mob Review and Issue Policy for DON Physical Examinations (MM Chapter 15) EDIS/EFMP/Suitability INCAPACITATION PEB Liaison/Medical Board Policy (MM 18) TSGLI reviews